UDC Transcript Request 2013

UDC Transcript Request 2011_Layout 1 2/3/11 11:01 AM Page 1

Please print form, complete and mail to:

UNIVERSITY SYSTEM OF THE DISTRICT OF COLUMBIA OFFICE OF THE REGISTRAR 4200 Connecticut Avenue, NW ? Washington, DC 20008

TRANSCRIPT REQUEST

A transcript will be issued only on student's written request. A fee of $5.00 is required for each transcript. After the due date for final grades in a semester there may be delay in the issuance of transcripts.

NAME (LAST, FIRST, MI) AND ADDRESS

MR. MRS. MS.

INSTITUTION ATTENDED PRIOR TO UDC FORMER NAME (IF ANY) LAST, FIRST, MI

DCTC

Last Term You Registered for Classes

Did You Graduate?

YES

NO

Hold for Current Semester Grades: FALL

SPRING

Official Copy

Number of Copies to be Sent

TRANSCRIPT TO BE SENT HERE:

FCC

WTI

SUMMER NO Student's Copy

STUDENT ID NUMBER PHONE NUMBER (DAYTIME) MAJOR DATE OF BIRTH DATE OF ENROLLMENT DATE OF GRADUATION CHECK:

UNDERGRADUATE GRADUATE IN SERVICE EXTENSION PROGRAM SHORT COURSE

REMARKS

NAME OF HIGH SCHOOL NAME OF PREVIOUS COLLEGE(S)

(CITY) (CITY)

(STATE) (STATE)

DATE OF H.S. GRADUATION

DATES ATTENDED

(SEM/QTR HRS.)

OFFICE USE ONLY

PAYMENT INFORMATION AMOUNT

$

DATE RECEIVED BY

Form # 100 TR Rev. 9/13

DATE TRANSCRIPT SENT BY

SIGNATURE OF STUDENT DATE SUBMITTED

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